Loading...
HomeMy WebLinkAbout01-0642 PETITION FOR PROBATE and GRANT OF LETTERS ~J~" (, t.f J.. Nancy K. Lyter No. To: Estate of also known as Register of Wills for the , Deceased. County of Cumberland in the Social Security No. {Ol-l h-l 74q Commonwealth of Pennsylvania The petition of the undersigned respectfully represents that: Your petitioner(s), who is/are 18 years of age or older an the execut or in the last will of the above decedent, dated Sept. 12, 1978 and codicil(s) dated named ,19_ (state relevant circumstances. e.g. renunciation, death of executor, etc.) Decendent was domiciled at death in Cumbcrlan~ County, Pennsylvania, with h er last family or principal residence at _24 W. Louther St., Car1iR1e, PAy 17013 (list street, number and muncipality) Decendent, then 77 years of age, died June 21, 59 2001 ~ CArliR1e, PA Except as follows, decedent did not marry, was not 9ivorced and did not have a child born or adopted after execution of the will offered for probate; was not the victim of a killing and was never adjudicated incompetent: Decendent at death owned property with estimated values as follows: (I f domiciled in Pa.) All personal property $ (If not domiciled in Pa.) Personal property in Pennsylvania $ (If not domiciled in Pa.) Personal property in County $ Value of real estate in Pennsylvania $ situated as follows: WHEREFORE, petitioner(s) respectfully request(s) the probate of the last will and codicil(s) presented herewith and the grant of letters t eR t AmE'Dt ary (testamentary; administration c.I.a.; administration d.b.n.c.l.a.) theron. l~ ~~~,~~ x~ --. ""c ~ H 1<~t-tJ'.. ~0- j-70g' ~ 7: OATH OF PERSONAL REPRESENTATIVE COMMONWEALTH OF PENNSYLVANIA Ij' '" ~~ COU NTY OF CUMBERLAND The petitioner(s) above-named swear(s) or affirm(s) that the statements in the foregoing petition are true and correct to the best of the knowiedge and belief of petitioner(s) and that as personal represen- wtive(s) of the above decedent petitioner(s) will w I and truly administer the estate according to law. '~ Sworn to c:r a ff;,mcd and 'Ub~.;bCd , ~ ~ before me thIS 3rd day of ~~:t~e~~~~~ ~ . u~_.,... T Ot.7; '" Register. Vl ()Q' ::s l::l .... 10:: ~ ~ N 21-2001-642 o. Estate of NANCY K. LYTER , Deceased DECREE OF PROBATE AND GRANT OF LETTERS AND NOW July 9th 1921lO.L., in consideration of the petition on the reverse side hereof, satisfactory proof having been presented before me, IT IS DECREED that the instrument(s) dated September 12, 1978 described therein be admitted to probate and filed of record as the last will of Nancy K. Lyter and Letters Testamentary are hereby granted to John W. Lyter, III .a~~J Mary c. Lewis &-7 FEES Probate, Letters, Etc. ......... Short Certificates( s> . . . . . . . . . . Renunciation ................ x-Pages (2) JCP $ $ $ $ 6.00 TOTAL _ $ 5.00 . .~lf~.Y:. .~t~.... .2.~~~... $.66.00.... 40.00 15.00 61886 G A TTDRNEY (Suo. Ct. I.D... No.) E . eorge F..DougLas, Ill, squlre ADDRESS 27 W. High St., Carlisle, PA 17013 7l7-2~3 1790 PHONE Filed CALL ATTORNEY WHEN LE'ITERS ARE FINISHED. H 105.805 REV ')/86 This is to certify that the infotmation here given is correctly copied fron: an original certificate of death du1I: filed with me as Local Registrar. The original certificate will be forwarded to the State Vital Records Office for permanent fihng. WARNING: It is illegal to duplicate this copy by photostat or photograph. Fee for this certificate, $2.00 p 7402575 No. 21-2001-642 -\).w..:' " \\1 L..., .D,<< ~_ Local Registrar JUN 2 4 2001 Date Hl05. :4JA~. 2181 COMMONWEALTH OF PENNSYLVANIA. OEPARTMENT OF HEALTH. VITAL RECOROS CERTIFICATE OF DEATH PAINT . 'NEHT IC;INK STATE 'Il! :"UMBEA SOC~"d':eR'r\' ,u"'i'~ 174 ,. __ __ 9 BlR'THPlAC( (c.ty i1nd P\.ACE OF OERH fC"<<.k 0I'lIy I)NI ..eel 'l"$lf\lCVJfl!.Ol'l ~ ,oe\ Chsalinbe"f~b'U'rg HOSPITAl, '''''_ 0 ,. Penna. ... FACrLlTY NAME II' nollfl5f'f'\Jl1()l'l. gwe $l'il!'el and numoerl .... Cw:le1;s k Kec oeCEOEWl'S USUAl OCCVPATlON IONO OF auSINESSlfNOUS1AY '~"'=:.:::"':''%'".:'~:'r In termed ia te "L Teacher ".. Uni t DEaDE~'~ "'AIlING ADOAESS (SI>~ c-.S!IlotE<>c-lt DECEDENt.S 7GI.t West Lou-cner ;:)" ree ~~~~NCE Carlisle,Penna.170l3 ~~ "" --. lIlwil,. Cumberland _1 t1..~-';:=.. MOTHER'S NAME (First. Middle. Ma~ Sutnamel 11. Frances J. Hod es :~4~~'~dt~~gr'~i~~t,Carlisle,PennsYlvania PlACE OF orSPO$[1'ION. Name Of C""*-'Y. C,eNlOfy 1.0CAll0H. CityfTown. $1.... Zip COdII ..~~~ Ease H~Ktbrburg Harrisburg,Pennsylvania .... re y ".. ~~~~~ersleJPl~~~~~p~~Rg~!~aBla!?~l l.ICENSE NUMBER DATE SKlNED """"'.Ooy. - .... V 21 E)CAMINERICOAONER? NoD 1. SEX .Female AGE (lils( &nt<I.", 77 v... COUNTY Of OERH _~I Cumberland .... Ie. Wt.S DECEDENT EveA IN u.s. AAUED FORCES? ....o...l'tl E~", 'P" (0-12) ". 11a.Sta'. Pennsy vanJ.a ,.. FR'HEA'S NAME {Fit", M~. Us) ~ Leighton ...QRt.IAHl.s....E(T-"'john W, MEl>tOD 01' OfSPOSlTION d O - 0 c.....,"" 'f' __s,...o Ooootion ~_... " $lGHRURE '10. Reynolds Kremer Lyter III lO. o. .. ......"':;1,..... \ v" "'Z.. ..... ~;, ~"'L,.,,~ ~ DUE TO (OR AS A. CONSEOUENCE 00: WERE AlITOPSY FINDINGS MANNER OF DEATH NAllA8LE PNOR 10 ~ COMP\.E'TtOH OF CAUSE ....w.. 0 OFOE..G'H? Hon'liCidI Accident 0 Pltnding InYndgalion 0 _0 NoD SW:ide 0 Cookt not blI detarmmed 0 DATE OF INJURY '.........,..,.-1 zo. He. 21b. ClfITWlefll rCheek onty one} ~CEffTtFYlNG PHYSICIAN (Ph.,sc.an el!f1ltylng cause d (SIrattl wf18f' oil'\Olher pnVSoC<af1 t\as p'ooouncecl dealt'! ana COTlpleled ITem 231 T. 11M bMt of my lutowMdge, Matti occUf'Nd m... . tf'te C'U"(I' .t'Id manMr.. s.tatN. , . . . . "PRONOUNCING AND ceAtlFYING PHVStclAN (F'hysc:liln bOlh Oll'OI'C)l.lnclf\Q oealtl ,too cem1y.og 10 cause or dealtll To the Net 01 mykroo"'led'2~. de,th occuned.t ItIe tim., dale, and pl.ca, .nd du.la the cauu(.) and m.nner II .taled._ .UEC.cAl EXAMINER/COAONER On the ba.is of ..1,"inIUon Ind/or Invesllgation, in my opinion. duth occurred I' the time, dete. Ind place. 'nd due to the cluse(s)'nd "'anner.. ,t"ed.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31.. RE 1.:lJ ll"'-i1 10 I O"J9UM"'~ ~~~'bl .. ~,o RACE ....",~lndi.....~.~.. Me. '_I Whi te MARITAL STATUS. w.rn.d N....... MlfTirtd, Widowed. MaITrt(f'vl ... 11c.O _.~""In SURViVING SPOuse tn........ OM' "'MWl1'WNI1 III -i Carlisle - ... f Apc:lroltimahl '-- : GnMt Ind dHth , I , OU'MN Signillcwlt c:ondIIiona conmbuftng to dutrt. but ncM......""intM~<*'M~inPNn",. <-\"['O~-L ~'ZI"\ ':.\- (=-....:: \.......'Z,. .. c::.."....t"4#"'t,... '- o~:..~... "-"";.~.....~ M....taI:~..:..c.~o~..::. L.",. 'b' ~ , TIME OF INJURY INJURY AT 'M:>RK1 OESCRleE ttOH INoJURY OCC'UAAEO. ..... 0 NoD .... o ,.. V'n-\ .~I.C.... C...TE FilED (Monlh. Day ~an ... {,7~ Ie, ~J~ O\~ LAST WILL AND TESTAMENT I, NANCY K. LYTER, of the Borough of Carlisle, Cumberland County, Pennsylvania, do make, publish and declare this as and for my last will and testament hereby revoking and making void any and all wills by me at any time heretofore made. Item I. I direct my executor hereinafter named to pay my debts and funeral expenses. Item II. I give all my property, both real and personal, to my husband, John W. Lyter, III, providing he survives me. Item III. In the event my said husband does not survive me, I give all my property, both real and personal, to my son, John R. Lyte~. Item IV. I appoint my husband, John W. Lyter, III, as executor of my estate. In the event he is unable to serve, I appoint my son John R. Lyter as substitute executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal this the ~day of September, 1978. Signed, sealed, published and eclar by the above named testatrix as and or her last will, who at her request, in our presence, in her presence, and in the presence of each other, have hereunto subscribed our n~es as a~~esting witnesses. \\ ~. .'.' \" '~\\~,,'>'.~\<<\.,~~ / 4er f-4y~;/1 (SEAL) COH~10NWEALTH OF PENNSYLVANIA) COUNTY OF or I, SS: , , whose name is signed to the attached having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument as my last will; that I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. Sworn to and subscribed before me this I~ day Of~ '.'. 197..~. ~~D-r Notary ~NJ;: M. COX, Notary Put'ic Carlisle, C'lmb, Co. Penna. MY ComrTI:ss':v Expires July 14, ~ I erg; COM!'-10N\vEALTH OF PENNSYLVANIA SS: , COUNTY OF CUMBERLAND ) We, ',;l;\.~",,-\~ ~~\\,\ ,,\ ~"n~ whose na~s ar :igned 0 the attached or foregoing instrument, and , the witnesses being duly qualified according to law, do deposes and say that we were present and saw testat sign and execute the instrument as Llastwill, and that ~igned willingly and thatd~xecuted it aS~~free and voluntary act for the purposes therein contained; that each of us in the hearing and sight of the testa~signed the will as witnesses; and that to the best of our knowledge testat~~ was at that time 18 or more years of age, of sound mind and under no constraint or un Sworn to and subscribed befff~re me this / ;---::d~y of 1 97F. D' \~~ ;/ notary mum WI. cox, Notary Public Carlisle, Cumbo Co. Penna. My Commission Expires July 14'"J;o/ E- .---- CERTIFICATION OF NOTICE UNDER RULE 5.6(a) Nancy K. Lyter Name of Decedent: June 21, 2001 Date of Death: Willl No. 2101-0642 Admin. No. To the Register: I certify that notice of (beneficial interest) estate administration required by Rule 5.6(a) of the Orphans' Court Rules was served on or mailed to the following beneficiaries of the above-captioned estate on July 12, 2001 Name Address See attached notices Notice has now been given to all persons entitled thereto under Rule 5.6(a) except none July 12, 2001 Date: Signature ~ F. ~'!!r Name George F. Douglas, III, Esquire Address 27 W. High St. Carlisle, PA 17013 Telephone (71~-243-l790 Capacity: _ Personal Representative xxx _Counsel for personal representative ~ NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYLVANIA IN RE: ESTATE OF NANCY K. LYTER, DECEASED NO. 2101-0642 TO: JOHN W.LYTER, III 724 W. Louther St. Carlisle, P A 17013 Please take notice of the death of decedent and the grant of letters to the personal representative named below. You may have a beneficial interest in the estate under the Last Will and Testament/Codicil of Nancy K. Lyter. See attached copy of Will Name of decedent: Nancy K. Lyter Last known address of decedent: 724 W. Louther St., Carlisle, PA 17013 Date of Death: June 21, 2001 Place of Death: Carlisle Regional Medical Center, Carlisle,P A County of Grant of Original Letters: Cumberland Decedent died Testate, and a copy of the Will is attached hereto Name, address and phone number of all personal representatives: JOHN W.LYTER, III 724 W. Louther St. Carlisle, P A 17013 Name, address and phone number of counsel: George F. Douglas, ill, Esquire 27 W. High St. Carlisle, Pa. 17013 Phone: 717-243-1790 Additional information may be obtained from the undersigned: Dou las, Douglas & Dougl"as By George F. ouglas, 27 W. High St. Carlisle, Pa. 17013 717-243-1790 Dated: July 12, 2001 (. NOTICE OF BENEFICIAL INTEREST IN ESTATE BEFORE THE REGISTER OF WILLS, COUNTY OF CUMBERLAND, PENNSYL VANIA IN RE: ESTATE OF NANCY K. LYTER, DECEASED NO. 2101-0642 TO: John R. Lyter 1211 Georgetown Circle Carlisle, P A 17013 Please take notice of the death of decedent and the grant of letters to the personal representative named below. You may have a beneficial interest in the estate under the Last Will and Testament/Codicil of Nancy K. Lyter. See attached copy of Will Name of decedent: Nancy K. Lyter Last known address of decedent: 724 W. Louther St., Carlisle, PA 17013 Date of Death: June 21, 2001 Place of Death: Carlisle Regional Medical Center, Carlisle,P A County of Grant of Original Letters: Cumberland Decedent died Testate, and a copy of the Will is attached hereto Name, address and phone number of all personal representatives: JOHN W.L YTER, III 724 W. Louther St. Carlisle, P A 17013 Name, address and phone number of counsel: George F. Douglas, III, Esquire 27 W. High St. Carlisle, Pa. 17013 Phone: 717-243-1790 Additional information may be obtained from the undersigned: Dou las, Douglas & Douglas By Ge g a~, 27 W. High St. Carlisle, Pa. 17013 717-243-1790 5 Dated: July 12, 2001 t LAST WILL AND TESTAMENT I, NANCY K. LYTER, of the Borough of Carlisle, Cumberland County, Pennsylvania, do make, publish and declare this as and for my last will and testament hereby revoking and making void any and all wills by me at any time heretofore made. Item I. I direct my executor hereinafter named to pay my debts and funeral expenses. Item II. I give all my property, both real and personal, to my husband, John W. Lyter, III, providing he survives me. Item III. In the event my said husband does not survive me, I give all my property, both real and personal, to my son, John R. Lyte~. Item IV. I appoint my husband, John W. Lyter, III, as executor of my estate. In the event he is unable to serve, I appoint my son John R. Lyter as substitute executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal this the ~day of September, 1978. Signed, sealed, published and eclar by the above named testatrix as and or her last will, who at her request, in our presence, in her presence, and in the presence of each other, have hereunto subscribed our es as a~S~ing witnesses. ~'''\ , (SEAL) ~ COpy c0M!10mvEALTHOF PENNSYLVANIA) COUNTY OF I, ,. . or SS: I ) I whose name is signed to. the attached having been duly qualified according to law, do hereby acknowledge that I signed and executed the instrument ~s my last will; that.I signed it willingly; and that I signed it as my free and voluntary act for the purposes therein expressed. .Sworn to and s'ubscribed before me this /, day. ~~~ Notary ftNm; M. COX, Notal)' Public Carl1sle. CJT,'l. Cu. P\lnna. B1 Comr;'l:ssL:n hpir~s1u!y 14,.~. 11g/ .. ..,-.-...~,,:-~~~~ ...;.,.....':.,. . .. ""h . ',_ .1""" -.":::"'T -. '.. "",' .~ 1f"'" : ,., '.' . . CO~~10NWEALTH OF PENNSYLVANIA) '-, SS: , COUNTY OF CUMBERLAND ) We, \"J0.~~~\t~~\\,\ ~jt'~G~ ' the witnesses whose n~~s ar signed 0 the attached or foregoing instrument, and being duly qualifi~d according to law, do deposes and say that we were present and saw testat sign and execute the instrument as ~last ~ill, and that ~igned willingly and that~~xecuted -::-aS~&free and voluntary act for the purposes therein contained; that each of us in the hearing and sight of the testa~signed the will as witnesses; and that to the best of our knowledge testat,~ was at that time 18 or more years of age, of sound mind and under no constraint or un Sworn to and subscribed be f?ri':-:.this / ~" day Of~. . 1 97P. \~~Qy notary I\HNtl . fa, cox.. NotatY Public Carlisle. Cumbo Co. Penna. . My Commission Expires July 14. ~.'1 / . . /ffj" COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND l j F. b~ J A.. ~ -LLL 55: Sw.,.(" f\ -fo and subscribed before me, ~F.~~~ ..rr:1 '2.00 L Exec:utor . Administrator A,...,~~(t'f 2-1 Lu . K v,h Sr Cu- ~~ -PA- 1'0, '3 Address Notanal Seal Anne M Cox. Notary PublIC Carlisle Borough. Cumberland Coun My commiSSion expires July 14.20 r Date of Death 2.( ~~(\EL- 2-0C)\ Day Month Year INSTRUCTIONS I. An inventory must be filed within three months after appointment of personal representative. 2. A supplement inventory must be filed within thirty days of discovery of additional assets. 3. Additional sheets may be attached as to personalty or realty 4. Se~ Article IV, Fiduciaries Act of 1949. \... I~ ~ ~ f ::r -0 ~ >- Ql - .... w J' J lit C >- c::: .... fl:l W -( Q) Of! 0... .... --1 u 0 Vl Q) 0 w c::: w o ~l c - ..... J: 0... - .Q z .... -l J' fl:l -l -( 0... W u.. W J . I 0 -( f~ >- > Z c::: ~ II .... Z 0 c Ii 0 :::I 0 Vl Z 0 c::: U z I w -( - 0... ""tl ~ c 2: fl:l I - -.:: I 0 Q) I ..J) I Q) E .." .... Ql I III :::I I i -l U i.i: " f0--0 ~-(""S ~ G-a n..12. r *-' , -w s~ "'''t. "b'2--- ~ ~u~o <;~ ',1', IL~ '.' "~'I.'J . 1.",- ~ \S.&\r.t \...:t c).r-~ \~ 'r;:) /'1\. ,!-O \ ~ '. f'<Cc.:( ~ ..~~'. ..... "-.. -( P:> ..... · 1. '0 .... "). ., ,- _ '?'SOO ~ ")..-00 ~~ '\ =- )...-. ~. ; fSona\ estate 0' , tne fea\ and pe \n'len\of'/ 0 eC deceased ~ p- '\ " ' 't \ 2,..~~ 'tD I .......,-,.. J. 0 1 .",.:z..... \\ " I, , \ \', ,~ 4- qt{ \2.0 \ \ , \ ~\ \31. 9 y~ \ , ~ .... -;& -5"3& ~ ,\C>~~'^ . ," REV.1>OQ ~X(6-0~1 I- Z W C W o W C /6 -,;).."-/.:2-.$ REV-1500. INHERITANCE TAX RETURN RESIDENT DECEDENT COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE DEPT. 280601 HARRISBURG, PA 17128.0601 OFFICIAL USE ONLY FILE NUMBER 2-.L- 1) i COUNTY CODE YEAR o ~--':t2-_ NUMBER SOCIAL SECURITY NUMBER '2.0/ - f(. 1I&f- Cf e. DATE OF DEATH (MM.D .YEAR) ~-"2.\-O) \2-,';2.c:>-2.'3 (IF APPLICABLE) SURVIVING SPOUSE'S NAME {LAST, FIRST, AND MIDDLE INITIAL) "JoliN W. .TIL TIllS RETURN MUST BE FILED IN DUPUCATE WITH THE REGISTER OF WILLS SOCIAL SECURITY NUMBER , w ,., :.::~cn 00:'" w"o ,,00 00:-' .... .. " B'f" Original Return o 4. limited Estate ~ecedent Died Testate (Attach copy of Will) o 9. litigation Proceeds Received D 2. Supplemental Return D 4a. Future Interest Compromise (date of death after 12-12-82) D 7. Decedent Maintained a living Trust (Attad100pyomust) o 10. Spousal Poverty Credit (date or death lIel.ween 12-31-91 aoo 1.VlS\ 03. Remainder Return (daleofdealh prior to 12.13-82) D 5. Federal Estate Tax Return Required 8. Total Number of Safe Deposit Boxes o 11. EI~cUon to tax under Sec. 9113(A) (AltachSc'nO) ,., z w o z o .. '" W 0: 0: o o z o ~ :) l- ii: c( o w 0::: z o !( I-' :) Q. ::!!!i o o ~ A~i ~~~S ~- \,""\0 5. Cash, Bank Deposits & Miscellaneous Personal Property (Schedule E) 6. Jointly 0YIned Property {Schedule F) D Separate Billing Requested 7. Inter-Vivos Transfers & Miscellaneous Non-Probate Property (Schedule G or L) 8. Total Gross Assets (total lines 1-7) 9. Funeral Expenses & Administrative Costs (Schedule H) 10. Debts of Decedent, Mortgage liabilities, & Liens (Schedule 1) 11. Total Deductions (total lines 9 & 10) 12. Net Value of Estate (Line 8 minus Line 11) 13. Charitable and Governmental.Bequests/Sec 9113 Trusts for which an election 10 tax has not been made (Schedule J} 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Corporation, Partnership or Sole-Proprietorship 4, Mortgages & Noles Re<:ei"bIe {Schedule OJ (1) (2) (3) (4) (5) (6) (7) (9) (10) COMPLETE MAILING ADDRES~ I ~, W,,, ,~~'i'" C!.6-('ll.C)(e. PA- 11013 OFFICIAL USE ONLY z. .. <>-;2.. i'z- '?>(,.. 53l.o, (3 . (8) ~8.5"~8 CJ (" . 19(p'2...~Co . 7 1H... 2... 3 Go 36 f..., t.. , ~ , {II) (12) (13) 14. Net Value Subject to Tax (li~e 12, minus line 13) SEE INSTRUCTIONS ON REVERSE SIDE FOR APPLICABLE RATES (14) ~o (.,'l-.~1 15. Amount of Line 14 taxable at the spousal tax rate, or transfers under Sec. 9116 (a)(1.2) 16. Amount of Lin~ 14 taxable at lineal rate 17. Amount of Une 14 taxable at sibling rate 18. Amount of line 14 taxable at collateral rate 19. Tax Due 3 0 C- I (,. s-cr , ,.0_ (15) o ,,0_ (16) , ,12 (17) , ,15 (1B) (19) o CHECK HERE IF YOU ARE REQUESTING A REFUND OF AN OVERPAYMENT 20.0 Decedent's Complete Address: STREET ADDRESS , L- ~ ... CITY STATE \')\c.. . Tax Payments and Credits: 1. Tax Due /page 1 Line 19) 2. CreditS/Payments A. Spousal Poverty Credtt B. Prior Payments C. Discount Pr \.,0\.3 (1) o Total Credits ( A + B + C ) (2) 3. tnterestJPenalty ~ applicable D. Interest E. Penalty TotallnterestlPenalty ( D . E ) (3) 4. ~ Line 2 is greater than Line 1 + Line 3, enter the difference. This is the OVERPAYMENT. Check box on Page 1 Line 20 to request a refund (4) liP 5. If Line 1 + Line 3 is greater than Line 2, enter the difference. This is the TAX DUE. o A. Enter the interest on tl1e tax due. (5) (SA) . , ~ o B. Enter the totai of Line 5 + 5A. This i~ the BALANCE DUE. (58) Mak~ Check Payable to: REGISTER OF WILLS, AGENT' PLEASE ANSWER THE FOLLOWING QUESTIONS BY PLACING AN "X" IN THE APPROPRIATE BLOCKS 1. Did decedent make a transfer and: Yes a. retain tl1e use or income of the property transferred;.......................................................................................... 0 b. retain the right to designate who shall use tl1e property transferred or its income; ............................................ 0 c. retain a reversionary interest; or.......................................................................................................................... 0 d. receive tl1e promise for I~e of either payments, benefits or care? ...................................................................... 0 2. ff deatl1 occurred affer December 12, 1982, did decedent transfer property wifhjn one year of deatl1 without receiving adequate consideration? .............................................................................................................. 0 3. Did decedent own an 'in trustlor" or payable upon death bank account or security at his or her death? .............. 0 4. Did decedent own an Individual Retirement Account, annuity, or otl1er non-probate property which contains a beneficiary designatibn? .......................,...~'....,...................................,................................................... ~ No cY Go' Q; cr-- Q- [Y e: ck IF THE ANSWER TO ANY OF THE ABOVE QUESTIONS IS YES, YOU MUST COMPLETE SCHEDULE G AND FILE IT AS PART OF THE RETURN. Under penaJtieS of peljury, J decJare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and complete. Declaration of preparer other than the persooaI representative is based 00 an information of which preparer has any knowledge. SIGNATURE OF PERSON RESPONSIBLE FOR FILING RETURN DATE ADDRESS SIGNATUR REPARER O~R rt 1<::>/-.4 For dates of death on or after January 1, 1995, the tax rate imposed on the net value of transfers to or for tl1e use of tl1e surviving spouse is 0% [72 P.S. ~9116 (a) (1.1) (ii)]. The statute does not exemot a transfer to a surviving spouse from tax, and the statutory requirements for disclosure of assets and fiiing a tax retum are still appiicable even ~ tl1e surviving spouse is tl1e only beneficiary. For dates of death 00 Of aner July 1, 2000: The tax rate imposed on the net vaiue of transfers from a deceased child twenty-one years of age or younger at death to or for the use of a natural parent, an adopUve parent, or a stepparent of the child is 0% [72 P.S. ~9116(a)(1.2)]. The tax rate imposed on the net vaiue 01 transfers to or for tl1e use 01 the decedent's iineal beneficiaries is 4.5%, except as noted in 72 P.S. ~9116(1.2) [72 P.S. ~9116(a)(1)]. The tax rate imposed on the net vaiue of transfers to or for the use of the decedent's siblings is 12% (72 P.S. ~9116(a)(1.3)]. A sibiing is defined, under Section 9102, as an individual who has at least one parent in common witl1 the decedent, whether by blood or adoption. COMMONWEALTH OF PENNSYLVANIA INHERlTANCE TAX RETURN RESIDENT DECEDENT ESTATE OF N ~ L'1_k f\-Nc r- Ail property jointly-owned with rig of sUlVlYorshlp must be disclosed on Schedule F. ITEM NUMBER REV-1503 Et+ (1-97) . 1. 2. '3. ;)..c> \--:; l~ SCHEDULE B STOCKS & BONDS FILE NUMBER 2.{ -o( - O(.,\f:::> DESCRIPTION ~~1-or~ 'S~ ,I2.S ~Iotf. '?2- Sh~ 't.e.\phi ~U,-O ')~ e-- 1S"1Lf ')~ ky- ~ ~ I. )",0 TOTAL (Also enter on line 2, Recapitulation) (If more soace is needed. insert additional sheets of the same size\ VALUE AT DATE OF DEATH c.:. If. f Z- 1,2..'fC".'fO 2 D 7."2-2- 4er4.20 $ 2002. 8'2- REV-1511 EX+ (12-99) i: ~ COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESIDENT DECEDENT SCHEDULE H FUNERAL EXPENSES & ADMINISTRATIVE COSTS ESTATE OF N p.N~,-,\ ~. L\.t Tt; It . . Debts of decedent must be reported on Schedule I FILE NUMBER 2( -0 1 -OCo~L ITEM NUMBER DESCRIPTION AMOUNT A. FUNERAL EXPENSES: 1. Ev-.e ,(\ 1. 0(2.0S. 11lt~. () OQ.CD (\\~I (SO .c::. <:"'V\lJrcl--. I' S-. 0 C.U~ ~ ~O t\~<:.tu(',( ~ SoC'Q\.l-TU,)QfJ.,le~~ eso. b l'l^~ ~'t1t\f(" l-oc.k.er~M C'aJ-R.('Q..('". ~f2 ~"f>t-I Ov""l <=tIlt. , B. ADMINISTRATIVE COSTS: 1. Personal Representative's Commissions Name of Personal Representative(s) Social Security Number(s)/EIN Number of Personal Representative(s) Street Address City State _ lip Year(s) Commission Paid: Dou,\....~ ~c)u,\......:. . ))C)U~ \10-') 1.000. 2. Attorney Fees <- 3. Family Exemption: (If decedent's address is not the same as claimant's, attach explanation) Claimant J 0 "" t"'\ \.u L,",""Q r l \ \ oS S'"OO.O . , Street Address ,2-~ Lv.~(' S,- City C'.......r\\":> \~ statK A Zip \101"3 Relationship of Claimant to Decedent ~""~~CI\.Y'" ~ 4. Probate Fees Ie. ~ . Do 5. Accountant's Fees 6. Tax Return Preparer's Fees 7. ~~~ ~O C-"t c. -t- s;.. ~.bO C. \>w'- \oe-c-\~ \....CLU-J ~v c ,,~ ~. ,S.OO ~~\t'\\ <;~ J ~. ~tf.I{ TOTAL (Also enter on line 9, Recapitulation) $ 1 g ft, 2. "'3~ o () () o s- 00 () (If more space IS needed, Insert additional sheets of the same size) e<v""~.['.,). COMMONWEALTH OF PENNSYLVANIA INHERITANCE TAX RETURN RESlOENT DECEDENT SCHEDULE G INTER.VIVOS TRANSFERS & MISC. NON.PROBATE PROPERTY ESTATE OF \{kNc.'i ~. L.~T E. ~ FILE NUMBER -'Z..I - 0 I - Ot."f:z.... This schedule must be completed and filed jf the answer to any of questions 1 through 4 on the reverse side of the REV-1500 COVER SHEET is yes. DESCRIPTION OF PROPERTY %OF ITEM INCLUDE THE NAME OF THE TAANSFERfE, Tl-!EIR RaATIONSHIP TO DECEDENT AND THE DATE OF TRANSfER DATE OF DEATH DECO'S EXCLUSION TAXABLE VALUE ATTACH A COPfOfTHE DEED FOR REAL ESTATE. VALUE OF ASSET INTEREST \FM'PUCAllH.\ NUMBER 1. v...., Oa~". :t:RA-. f\ Cc.'T ~ ~OC> "1-2.00 ~7~7 "'31...S"~c.., '3 '00 3c.. ~3G..13 . TOTAL (Also enter on line 7, Recapitulation) $ 3<,. ~?~.I~ (If more space is needed, insert additional sheets of the same size) ?SBLREAO EBRN6ZN Customer Service Workstation IRA Account Balance 11:58:55 01/01/02 Account #: 35004200348727 Produ.ct: REA SubC.:>de: RP M&T BANl( SSN/TIN: 201161749 Package: Region : CEFl\ Status : ACTIVE Restraint: N Title 1: NANCY K LYTER 2: Matur' Current Balance $ Accrued Interest $ Int Pd Prior Cycle $ Date Transaction 04/17 INTEREST PAYMENT GENERATED 12/20 RETIREMENT DISB NORMAL 10/06 CONVERTED PRINCIPAL 36,536.13 537.92 2,565. DIC C $ D $ C $ ~ .> :;:; S Last Depos~t Amount: $ Last Deposit Date IRA Plan Type Code RI Amount 2,565.21 2,345.00 36,315.92 2,565.21 01/04/17 F2 Options Gf)ai7'k~~~:19!;;a; ~p.~~f~~ #\ MIl T &'" 'R~rJ.S ~t . 1>~k. &t- ~ !Sa \qr)ci'~ t 160Wh~r I~ tr. ~ \,J\\\~0(l1.91\11<.1 ~y I~ 22.} Marjorie Wmgert High Street Office (717) 240-4580 Fax: (717) 240-451 a E-Mail: mwinger@mandtbank.com Manufacturers and Traders Trust Company One West High Street, Carlisle, PA 17013 REV.1S13EX./HT) ESTATE OF NUMBER r. . COMMONWEALTH OF PENNSYLVANIA INHERITANCE. TAX RETURN RESIDENT DECEDENT SCHEDULE J BENEFICIARIES N P\tJ C.\{ \(. L \I Tk: ~ , , NAME AND ADDRESS OF PERSON(S) RECEIVING PROPERTY TAXABLE DISTRIBUTIONS (include outright spousal distributions) 1. Jo'nt\ W. L,\,..e.R. 1'\\ FILE NUMBER 2.t - 0 { - 0 <.l.f "2- RELATiONSHIP TO DECEDENT AMOUNT OR SHARE Do Not List Trustee(s} OF EST ATE ~h.. '!l ba ('\ d. All ENTER DOLLAR AMOUNTS FOR DISTRIBUTIONS SHOWN ABOVE ON UNES 15 THROUGH 17, AS APPROPRIATE, ON REV 1500 COVER SHEET II . NON-TAXABLE DISTRIBUTIONS: A. SPOUSAL DISTRIBUTIONS UNDER SECTION 9113 FOR WHICH AN ELECTION TO TAX is NOT BEiNG MADE 1. 1. B. CHARITABLE AND GOVERNMENTAL DISTRIBUTIONS TOTAL OF PART II. ENTER TOTAL NON-TAXABLE DiSTRIBUTIONS ON LINE 13 OF REV 1500 COVER SHEET $ (If more space is needed, Insert additional sheets of the same size) _~9~ ~0 COMMONWEAL TH OF PENNSYLVANIA /" / ~ ) iJ #) &: DEPARTMENT OF REVENUE &7 ~7~ -~ BUREAU OF INDIVIDUAL TAXES INHER1TANCE TAX DIVISION DEPT. 280601 HARRISBURG, PA 17128-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT, ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX Recorccu of Reoi<;?,.,',' ".f']l"l'l-::,} ;d '.' "'.. -. '..... ~_ .02 DATE ESTATE OF DATE OF DEATH P3 '21 FILE NUMBER . COUNTY ACN JAN 11 GEORGE F DOUGLAS DOUGLAS ETAL 27 W HIGH ST CARLISLE III C!erk.; Cumberib. PA 17013-0562 12-31-2001 LYTER 06-21-2001 21 01-0642 CUMBERLAND 101 REY-1547 EX AFP Ill-DOl NANCY K ;-..f" I j--''f-\ '~,. .-.J...._' i Allount Rellitted MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE, PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV =is'4j-ix--AFP-fi'2-:o0Y-NO'fici--OF-YNHiifiTiNCE-i''AX-APPRAisiM€NT~--Ai:.i-owiNCE-(fR-------------- --- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF LYTER NANCY K FILE NO. 21 01-0642 ACN 101 DATE 12-31-2001 TAX RETURN WAS: ) ACCEPTED AS FILED SEE ATTACHED NOTICE ( X) CHANGED RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets (1) (2) (3) (4) (5) (6) (7) APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax (9) (10) NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Amount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS: .00 2,002.82 .00 .00 .00 .00 36,536.13 (8) .00 5.859.54 Ul} (12) (13) (14) NOTE: To insure proper credit to your account, subllit the upper portion of this forll with your tax paYllent. 38,538.95 5.859 54 32,679.41 .00 32,679.41 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. 32,679.41 X 00 = .00 X 045 = .00 X 12 = .00 X 15 = (19)= .00 .00 .00 .00 .00 PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 TOTAL DUE .00 . IF PAID AFTER DATE INDICATED, SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. IF TOTAL DUE IS LESS THAN $1, NO PAYMENT IS REQUIRED. IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR), YOU MAY BE DUE A R~FUND. SEE REVERSE SIDE OF THIS FORM FOR INSTRUCTIONS.) REV-1470 EX (&-88) INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME LYTER, NANCY FILE NUMBER REVIEWED BY LARRY SZOLLOSY ACN 2101-0642 101 ITEM SCHEDULE NO. H B-3 EXPLANATION OF CHANGES Reduced to $2,002.82. Family exemption can only be claimed against assets subject to will or intestacy. ROW Page 1 IN RE: ESTATE OF NANCY K. LYTER : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY,PENNA. : ORPHANS' COURT DIVISION : NO. 2001-00642 toRDER ANDNOW,thiS~ day of Petition to Settle this Small Estate is approved, and John W. L , 20l;he , III, is hereby discharged from his duties as Executor of this Estate. . J. I i -\ 1.- -:r) t-t ;a G APR 2 6 200Z ~ IN RE: ESTATE OF NANCY K. LYTER : IN THE COURT OF COMMON PLEAS : OF CUMBERLAND COUNTY, PENNA. : ORPHANS' COURT DIVISION : NO. 2001-00642 PETITION FOR THE SETTLEMENT OF A SMALL ESTATE TO THE HONORABLE, THE JUDGES OF SAID COURT: John W. Lyter, III, Executor of the Estate of Nancy K. Lyter, through his attorneys, Douglas, Douglas & Douglas, respectfully represents: 1. Nancy K. Lyter, the wife of John W. Lyter, III, who resided at 724 West Louther St., Carlisle, PA 17013, died testate on July 9,2001. 2. Letters Testamentary were granted to Petitioner on July 9, 2001. 3. The only assets in the estate were as follows: 1. 2. 3. 4. 20 shares GMC @64.82 13 shares Delphi Auto Systems @$15.94 16 shares Metropolitan Life @31.20 M&T Bank, Ira Account #35004200348727 TOTAL ASSETS $1,296.40 207.22 499.20 36.536.13 $38,538.95 4. Expenditures in the amount of $5,859.54 have been made on behalf of the said Nancy K.Lyter Estate: 5. No inheritance tax was due on this estate. A copy of the Appraisement of Deductions from the Department of Revenue is attached hereto as Exhibit A. 6. The said Nancy K. Lyter left her entire estate to her husband, John W. Lyter, III, in Item II. of her Last Will and Testament. A copy of said Will is attached hereto has Exhibit B. 7. The Balance of the estate has been distributed to John W. Lyter, III. RECAPITULA TION Total Assets: Total Credits Balance distributed to John W. Lyter, III $38,538.95 $ 5.859.54 $32,679.41 WHEREFORE, your Petitioner prays that Your Honorable Court approve the distribution of this estate as set forth herein, and that the said Executor, John W. Lyter, III, be discharged from the duties of his appointment. Douglas, Douglas, & Douglas 15" Dated: April 17, 2002 COMMONWEALTH OF PENNSYLVANIA COUNTY OF CUMBERLAND John W. Lyter, III, Executor, being duly sworn according to law, deposes and says that the averments of the within Petition are true and correct to the best of affiant's knowledge, information and belief. \) > 'C' ::-.J; \J0 ' ~; John W. Lyter, III \1\ .--- Sworn to and subscribed b~r~ mr this ~ day of " 2002. ~~ C1t- Nota! - Notarial Seal Anne M. Cox, Notary Public Carlisle Borough, Cumberland County My Commission Expires July 14, 2005 COMMONWEALTH OF PENNSYLVANIA . DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES INHERITANCE T~X DIVISION DEPT. Z80601 HARRI~BURG, PA 171Z8-0601 NOTICE OF INHERITANCE TAX APPRAISEMENT. ALLOWANCE OR DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX DATE ESTATE OF DATE OF DEATH FILE NUMBER COUNTY ACN GEORGE F DOUGLAS DOUGLAS ETAL 27 W HIGH ST CARLISLE III PA 17013-0562 12-31-2001 LYTER 06-21-2001 21 01-0642 CUMBERLAND 101 *' REY-1541 EX AFP 112-001 NANCY K Allount Rellitted ( X) CHANGED (1) (2) (3) (4) (5) (6) (7) .00 2,002.82 .00 .00 .00 .00 36.536.13 (8) MAKE CHECK PAYABLE AND REMIT PAYMENT TO: REGISTER OF WILLS CUMBERLAND CO COURT HOUSE CARLISLE. PA 17013 CUT ALONG THIS LINE .. RETAIN LOWER PORTION FOR YOUR RECORDS ~ REV=is'4,-i3f-AFP--n'2=OOY-NOYici--OF-YtitiiifiTANCi-YAx-jrpPRjrisiirENT~--ALi-owAifci-(rR------------ ----- DISALLOWANCE OF DEDUCTIONS AND ASSESSMENT OF TAX ESTATE OF LYTER NANCY K FILE NO. 21 01-0642 ACN 101 DATE 12-31-2001 TAX RETURN WAS: ( ) ACCEPTED AS FILED SEE ATTACHED NOTICE APPROVED DEDUCTIONS AND EXEMPTIONS: 9. Funeral Expenses/Adll. Costs/Misc. Expenses (Schedule H) 10. Debts/Mortgage Liabilities/Liens (Schedule I) 11. Total Deductions 12. Net Value of Tax Return 13. Charitable/Governllental Bequests; Non-elected 9113 Trusts (Schedule J) 14. Net Value of Estate Subject to Tax RESERVATION CONCERNING FUTURE INTEREST - SEE REVERSE APPRAISED VALUE OF RETURN BASED ON: ORIGINAL RETURN 1. Real Estate (Schedule A) 2. Stocks and Bonds (Schedule B) 3. Closely Held Stock/Partnership Interest (Schedule C) 4. Mortgages/Notes Receivable (Schedule D) 5. Cash/Bank Deposits/Misc. Personal Property (Schedule E) 6. Jointly Owned Property (Schedule F) 7. Transfers (Schedule G) 8. Total Assets NOTE: I~ an assessment was issued previously, lines re~lect ~igures that include the total o~ ALL ASSESSMENT OF TAX: 15. Allount of Line 14 at Spousal rate (15) 16. Allount of Line 14 taxable at Lineal/Class A rate (16) 17. Allount of Line 14 at Sibling rate (17) 18. Allount of Line 14 taxable at Collateral/Class B rate (18) 19. Principal Tax Due TAX CREDITS. (9) llO) .00 NOTE: To insure proper credit to your account. subllit the upper portion of this forll with your tax paYllent. 38.538.95 (11) (12) ll3) ll4) 5.81i9 1i4 32.679.41 .00 32.679.41 5.859.54 14, 15 and/or 16, 17, 18 and 19 will returns assessed to date. 32.679.41 X 00 = .00 X 045 = .00xI2= .00 X 15 = (19)= .00 .00 .00 .00 .00 . PAYMENT RECEIPT DISCOUNT (+) AMOUNT PAID DATE NUMBER INTEREST/PEN PAID (-) TOTAL TAX CREDIT .00 BALANCE OF TAX DUE .00 INTEREST AND PEN. .00 I TOTAL DUE .00 ~ IF TOTAL DUE IS LESS THAN ", NO .AYHENT IS REQUIRED, IF TOTAL DUE IS REFLECTED AS A "CREDIT" (CR). YOU MAY BE DUE ... R~~IINn _ oo::.~~ R~U~Roo::.~ e:::Tn~ n~ Tine::: ~nDM I'nD T""'TDllrTTn...", , . IF PAID AFTER DATE INDICATED. SEE REVERSE FOR CALCULATION OF ADDITIONAL INTEREST. REV-1470 EX (6-88) INHERITANCE TAX EXPLANATION OF CHANGES COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES DEPT. 280601 HARRISBURG PA 17128-0601 DECEDENTS NAME FILE NUMBER REVIEWED BY ACN 2101-0642 101 LYTER, NANCY LARRY SZOLLOSY ITEM SCHEDULE NO. H B-3 EXPLANATION OF CHANGES Reduced to $2,002.82. Family exemption can only be claimed against assets subject to will or intestacy. A2- ORIGINAL Page 1 ~"',','c,,,","'''''''~'''''''''''.'.'.....'' rr ...' ..... .- '. -. -,.' . . - .. ===- ...t ~"'- ~.. . . .. :':' " ,,-.,-' ..:. I1b. 21-2001-642 LAST WILL AND TESTAMENT I, NANCY K. LYTER, of the Borough of Carlisle, Cumberland County, Pennsylvania, do make, publish and declare this as and for my last will and testament hereby revoking and making void any and all wills by me at any time heretofore made. Item I. I direct my executor hereinafter named to pay my debts and funeral expenses. Item II. I give all my property, both real and personal, to my husband, John W. Lyter, III, providing he survives me. Item III. In the event my said husband does not survive me, I give all my property, both real and personal, to my son, John R. Lyte~. Item IV. I appoint my husband, John W. Lyter, III, as executor of my estate. In the event he is unable to serve, I appoint my son John R. Lyter as substitute executor. IN WITNESS WHEREOF, I have hereunto set my hand and seal this the ~day of September, 1978. Signed, sealed, published and eclar by the above named testatrix as and or her last will, who at her request, in our presence, in her presence, and in the presence of each other, have hereunto subscribed our es as a~S~ing witnesses. (SEAL) ,.... COpy ~l 11_ ~~'t':i"--:,,,;"' '-v:"..,;;,>...;,;..>..... ." 4 ~~"'......,..~ ~<.:.:.;.{.,'< -"-....-,~.,-,j".... ,.,.~~.~..r,.f!.!.;.'.)'.f.:.,~.,.~~.:~.......-'.. '. ' :';'-' :";.....,.....,- ."<.'..',)-.....,..":' . ~,~"11' '.,' ;0Mr10m;EALTH' OF PENNSYLVANIA) 'COUNTY OF ss: , ) , I, , whose name is signed to the attached having been' duly qualified according " ' or to law, do hereby acknowledge that I signed and executed the instrument ~s my last will; that,I signed it willingly; and that I signed it as my free and volUntary act for the purposes therein expressed. .: Sworn to and s'ubscribed before me this I~ day, 'Of~. " . ' 197P, ',. ~~.~ Notary fWN'E; M. r.oX, Notary Public CarHsle. Cwn'J: Cu. P\lnna. BY Comr;'1:s$j~l1Expir~s1u)y, 14" ~, , ", ,rK; .. " . 02./ ~,."-' "mJ' rm~ .1 'r-tfll - 'Z,. ...~ ~ ....r' 'C'" .' V" ..-. :'7'~. . _~'!;f_"'.:";C' :c~.~.. T~" .:'Jr.'" :. . .-. ',' r, _.... , :_":",'~._'" ~W', gOMMONWEALTH OF PENNSYLVANIA-) -- COUNTY OF ss: , We, _ and whose , the witnesses the attached or foregoing instrument, being duly qualified according to law, do deposes and say -that we were present and saw testat sign and execute the instrument as ~iast ~ill, and that ~igned willingly and that~~xecuted - it as~Lfree and voluntary act for the purposes therein contained; that each of us in the hearing and sight of the testa~signed the will as witnesses; and that to the best of our knowledge testat-ty was at that time 18 or more years of age, of sound mind - and under no constraint or un Sworn to and subscribed bef?"i:-thiS /~y Of~ - 1 97P. \_g<<~~ O-y notary !Nfm lit COx, _ NotaiY Pubfu: Carlisle, Cumbo Co. Perina. _ My Commission - (xllires - July 14, ~ _ - - - lir;' \33 Cumberland County - Register Of Wills Hanover and High Street Carlisle, PA 17013 Phone: (717) 240-6345 Date: 5/07/2003 LYTER JOHN WIll 724 W LOUTHER STREET CARLISLE, PA 17013 RE: Estate of LYTER NANCY K File Number: 2001-00642 Dear Sir/Madam: It has come to my attention that you have not filed the Status Report by Personal Representative (Rule 6.12) in the above captioned estate. As per the AMENDMENTS TO SUPREME COURT ORPHANS' COURT RULES, NO. 103 SUPREME COURT RULES DOCKET NO.1, for decedents dying on or after July 1, 1992, the personal representative or his counsel, within two (2) years of the decedent's death, shall file with the Register of Wills a Status Report of completed or uncompleted administration. This filing will become delinquent on: 6/21/2003 Your prompt attention to this matter will be appreciated. Thank You. Sincerely, DONNA M. OTTO DEPUTY REGISTER OF WILLS cc: JFile Counsel Judge -~ j ~ oK Name of Decedent: STATUS REPORT UNDER RULE 6.12 N~, L~ 1/1,10 I 2-00\ - OO~ ~ 2...- Admin. No.: Date of Death: Will No.: Pursuant to Rule 6.12 of the Supreme Court Orphans' Court Rules, I report the following with respect to completion of the administration of the above-captioned estate: 1. State ~hejlrer administration of the estate is complete: Yes [B'" No 0 2. If the answer is No, state when the personal representative reasonably believes that the administration will be complete: 3. If the answer to No.1 is Yes, state the following: a. ~~~~eperso~~~esttp;(~~~~~ b. Theseparateorphanm~(lf~t~~r~ nta e's ~j/o;2.. account IS: _ ~~ / c. Did the personal ~)psentative state an account informally to the parties in interest? Yes Y' No 0 c. Copies of receipts, releases, joinders and approval of formal or informal accounts may be filed with the Clerk of the Orphans' Court and may be attached to this report. Date: 41tJ3 .~ F. ~'6 SIgnature G ~ ('Co r- F. b()~, (~~ ~11\ Name DOUGLAS, DOUGLAS & DOUGLAS P.O. BOX 261 . CARLISLE, PA 17013 Address N 1/1 ~<t-~ 1710 Telephone No. ~ <( (J.. <:;t a.. Lt"\ ..- "i::} r",M ,'0 il5 ," ..0 ,,"0 >= a>::: ......... -' uu Capacity: 0 Personal Representative A Counsel for personal representative ~ ::c p